Individual
LATRECE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
1270 NORTH AND SOUTH ROAD, ST. LOUIS, MO 63130
(314) 485-9241
Mailing address
1270 NORTH AND SOUTH ROAD, ST. LOUIS, MO 63130
(314) 485-9241
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2019041410
MO
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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